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Branch: 53I AT DHAMSAR

ANIT KUMAR PANDEY PO- DHAMSAR


Agent : LIC0177753I DIST- SARAN
Leader :0001197 PIN:841224

0177753I Premium due & Default List for the Month of 08/2019 Page : 1

Sl. Policy Policy Holder Name D.o.C. Plan - M F.U.P. Instlmnt D G S T Total Estm.
No. Number Term od Premium ue Premium Comn
1 826272766 SHAILENDAR SAH 28/03/2019 836-25 Q 06/2019 2375 1 107.00 2482 594

Page Totals : Premium : 2375.00 G S T : 107.00 Commission : 594.00


Grand Totals : Premium : 2375.00 G S T : 107.00 Commission : 594.00

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53I-0177953I - (31/07/2019 17:20:16)

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